Active NPI
Omni Solutions LLC
- Marriage & Family Therapist
- Mankato, MN
National Provider Identifier
1215523477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- OMNI SOLUTIONS LLC
- Practice address
- 709 S Front St Ste 2
Mankato, MN 56001-3887 - Phone
- (507) 304-7020
- Fax
- (507) 304-7022
- NPI assigned
- Dec 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taryn Nicole Surdy, LAMFT
- Title
- Owner
- Phone
- (507) 304-7020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
709 S Front St Ste 2
Mankato, MN 56001-3887
Mailing address
709 S Front St Ste 2
Mankato, MN 56001-3887
Phone (507) 304-7020
Other names 1
- Surdy Family Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
403 S Broad St
Ste 20
Mankato, MN 56001
Phone (507) 304-7020
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Mankato, MN
- NPI 1821684085
-
- Clinical Social Worker
- Eden Prairie, MN
- NPI 1851078851
-
- Psychiatry Physician
- Mankato, MN
- NPI 1598765877
-
- Professional Counselor
- Mankato, MN
- NPI 1467724187
-
- Mental Health Counselor
- Mankato, MN
- NPI 1508785650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730505600000",
"number": "1215523477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 S FRONT ST STE 2",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013887",
"telephone_number": "507-304-7020",
"fax_number": "507-304-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 S FRONT ST STE 2",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013887",
"telephone_number": "507-304-7020",
"fax_number": "507-304-7022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNI SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-11",
"last_updated": "2024-11-02",
"certification_date": "2024-11-02",
"status": "A",
"authorized_official_last_name": "SURDY",
"authorized_official_first_name": "TARYN",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "507-304-7020",
"authorized_official_credential": "LAMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Surdy Family Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Surdy Family Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.